Living with adenoid hypertrophy can be challenging. If you’re dealing with chronic nasal congestion, difficulty breathing through your nose, frequent ear infections, or disruptive snoring, you know how frustrating these symptoms can be.
At New York ENT, Dr. David O. Volpi offers expert care for those suffering from adenoid hypertrophy. With over 30 years of experience as a board-certified ear, nose, and throat surgeon, Dr. Volpi understands the impact of nasal conditions on your life. He offers treatment options to help you breathe easier and live more comfortably.
What Is Adenoid Hypertrophy?
Adenoid hypertrophy, also known as enlarged adenoids, is characterized by unusual growth of the adenoids (tissue at the back of the nasal passage), which can cause a complete nasal blockage. When airflow is not entirely blocked by the condition, it still may impair a person’s ability to breathe through the nose to the point of discomfort and affecting the voice.
What Causes Adenoid Hypertrophy / Enlarged Adenoids?
Adenoid hypertrophy can be a result of an infection in the adenoids. Like all lymphoid tissue, the adenoid tissue swells when infected. The tissue will usually act to fight the infection, but some viral or bacterial infections are severe enough to persist over long periods of time — sometimes years.
What Are Some Enlarged Adenoids Symptoms?
Symptoms commonly associated with enlarged adenoids in adults include:
- Trouble breathing through the nose
- Snoring
- Voice changes
- Obstructive sleep apnea
- Ongoing ear infections
How Is Adenoid Hypertrophy Diagnosed?
The process begins with a review of your medical history and symptoms, followed by a physical examination of the nasal passages, throat, and ears. The doctor may use a flexible fiber-optic scope to get a clear view of the adenoids. In some cases, nasal endoscopy or imaging tests like X-rays or CT scans may be necessary for a detailed assessment. Allergy testing and hearing tests might be conducted to identify any contributing factors or associated issues. If symptoms of obstructive sleep apnea are present, a sleep study could be recommended. By combining these diagnostic tools, Dr. Volpi can diagnose adenoid hypertrophy and create a treatment plan.
How Is Adenoid Hypertrophy Treated?
Medications
Adenoid hypertrophy can often be managed with medications. Treatment usually begins with antibiotics for bacterial infections or antiviral medications for viral infections. Nasal corticosteroid sprays can help reduce adenoid inflammation and improve nasal airflow. Over-the-counter pain relievers and decongestants may provide temporary relief from symptoms.Â
Adenoidectomy
For severe cases, an adenoidectomy may be necessary. This surgical procedure removes the adenoids and is performed under general anesthesia. Dr. Volpi accesses the adenoids through your mouth, avoiding external incisions. The procedure typically lasts 30 minutes to an hour, with most patients going home the same day. Recovery is usually quick, with significant symptom relief within a week. Mild discomfort and a sore throat post-surgery are common but temporary.Â
Consulting with Dr. Volpi at New York ENT will help determine the best treatment plan for your adenoid hypertrophy, whether it involves medication, surgery, or both.Â
Why Choose New York ENT?
At New York ENT, you're in great hands with Dr. David O. Volpi, a board-certified ENT specialist with over 30 years of experience. Dr. Volpi doesn’t just treat ear, nose, and throat conditions – he’s also the founder of eos sleep, a top center for snoring and sleep apnea in New York. With a medical degree from Hahnemann Medical College, residency at New York Eye and Ear Infirmary, and a master's in public health from Columbia, he's well-equipped to provide top-tier care.
Our team at New York ENT uses the latest diagnostic and treatment methods, including minimally invasive procedures that often let you go home the same day. We customize treatment plans to fit your unique needs, and our friendly staff helps with understanding costs and insurance coverage, making your experience as smooth as possible.
Frequently Asked Questions
What Are the Long-Term Effects of Untreated Adenoid Hypertrophy?
Untreated adenoid hypertrophy can cause chronic nasal congestion, breathing difficulties, recurrent ear infections, and obstructive sleep apnea. Sleep apnea will likely lead to sleep disturbances and daytime fatigue.
What Lifestyle Changes Can Help Manage the Symptoms of Adenoid Hypertrophy?
Avoid allergens, use a humidifier, stay hydrated, practice good nasal hygiene with saline sprays, and elevate the head while sleeping to reduce nasal congestion.
Can Adenoid Hypertrophy Recur After Treatment or Surgery?
Yes, adenoid hypertrophy can recur, especially if underlying causes like allergies or infections are not addressed. Regular follow-ups can help prevent recurrence.
What Are the Risks and Potential Complications of an Adenoidectomy?
Risks include bleeding, infection, anesthesia reactions, and rare voice or nasal regurgitation changes. Dr. Volpi will discuss these risks and take steps to minimize them.
Is Adenoid Hypertrophy Related to Chronic Sinus Infections?
Yes, enlarged adenoids can block nasal passages and sinuses, leading to poor drainage and chronic sinus infections. Treating adenoid hypertrophy can help alleviate these issues.
Get Relief from Adenoid Symptoms
If you are suffering from adenoid problems, the first step towards feeling better is to schedule an evaluation with an experienced ear, nose, and throat doctor. Dr. Volpi has extensive experience diagnosing and treating a wide variety of nasal conditions. Fill out the form on this page or call our office at 212-873-6036 to schedule an appointment today.